Browse > Article
http://dx.doi.org/10.24986/anxmod.2021.17.2.005

Association Between Suicidal Attempt and Internet Addiction in Korean Psychiatric Patients: A Case-Control Study  

Sun, Tai hui (Department of Psychiatry, Chungnam National University Hospital)
Song, Seung Il (Department of Rehabilitation Science, Daegu University)
Kweon, Kukju (Department of Psychiatry, Chungnam National University Hospital)
Chee, Hyun Seung (Department of Psychiatry, Chungnam National University Hospital)
Choi, Kwang-Yeon (Department of Psychiatry, Chungnam National University Hospital)
Publication Information
Anxiety and mood / v.17, no.2, 2021 , pp. 78-83 More about this Journal
Abstract
Objective : Current study investigated the association between internet addiction and suicidal attempts in psychiatric patients. Methods : Patients who visited emergency department or psychiatry outpatient unit of Chungnam National University Hospital from January 2020 to July 2021 were included in this study. Total of 192 participants, 96 suicidal attempt cases and 96 psychiatric control patients without history of suicidal attempt were matched by gender and baseline diagnosis. Depression and internet addiction were assessed by using Patient Health Questionnaire-9 (PHQ-9) and Young's Internet Addiction Test (IAT). Independent t-tests, and logistic regression analyses were conducted. Results : IAT scores were significantly higher in suicidal attempt case group (41.09±18.196 years) compared to psychiatric control patients without history of suicidal attempt (36.63±17.016 years) (p=0.040). Internet addiction (adjusted Odds Ratio [aOR]=2.049, 95% Confidence Interval [CI]=1.004-4.539, p=0.0493) was an independent risk factor for suicidal attempt in psychiatric patients after controlling age, gender, and sociodemographic factors, such as marital status, education level and employment status. Conclusion : This is the first study to investigate the relationship between internet addiction and suicidal attempt in psychiatric patients in Korea. Internet addiction is significantly associated with suicidal attempt in psychiatric patients, after adjusting sociodemographic variables. This study provides evidence to future studies to further investigate on causality of internet addiction and suicidality in psychiatric patients.
Keywords
Suicide; Self-injurious behavior; Internet addiction disorder;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Sharma A, Sharma R. Internet addiction and psychological well-being among college students: a cross-sectional study from Central India. Journal of Family Medicine and Primary Care 2018;7:147.   DOI
2 Mann J, Waternaux C, Haas G, Malone K. Toward a clinical model of suicidal behavior in psychiatric patients. Am J Psychiatry 1999;156: 181-189.   DOI
3 Chin EY, Seo YM. The Study on the Relations among Anger, Suicidal ideation and Internet Addiction in Male High School Students. The Journal of the Korea Contents Association 2012;12;430-437.   DOI
4 Weinstein A, Dorani D, Elhadif R, Bukovza Y, Yarmulnik A, Dannon P. Internet addiction is associated with social anxiety in young adults. Ann Clin Psychiatry 2015;27:4-9.
5 Bronisch T. The relationship between suicidality and depression. Archives of Suicide Research 1996;2:235-254.   DOI
6 Guo WJ, Tao YJ, Li XJ, Lin X, Meng YJ, Yang X, et al. Associations of Internet Addiction Severity With Psychopathology, Serious Mental Illness, and Suicidality: Large-Sample Cross-Sectional Study. J Med Internet Res 2020;22:e17560.   DOI
7 Meszaros G, Gyori D, Horvath LO, Szentivanyi D, Balazs J. Nonsuicidal self-injury: its associations with pathological internet use and psychopathology among adolescents. Frontiers in Psychiatry 2020; 11:814.
8 Gyeong HS, Lee HK, Lee KS. Factor analysis of the Young's internet addiction test: in Korean college students group. Journal of Korean Neuropsychiatric Association 2012;51:45-51   DOI
9 Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Relationship of Internet gaming disorder symptom severity with non-suicidal self-injury among young adults. Dusunen Adam 2020;33:79-86.
10 Ko CH, Yen JY, Yen CF, Chen CS, Chen CC. The association between internet addiction and psychiatric disorder: a review of the literature. Eur Psychiatry 2012;27:1-8.
11 Mercado MC, Holland K, Leemis RW, Stone DM, Wang J. Trends in emergency department visits for nonfatal self-inflicted injuries among youth aged 10 to 24 years in the United States, 2001-2015. JAMA 2017;318:1931-1933.   DOI
12 Young KS, De Abreu CN. Internet addiction: a handbook and guide to evaluation and treatment. John Wiley & Sons;2010.
13 Henriksson MM, Aro HM, Marttunen MJ, Heikkinen ME, Isometsa ET, Kuoppasalmi KI. Mental disorders and comorbidity in suicide. Am J Psychiatry 1993;150:935-935.   DOI
14 Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety and Mood 2010;6:119-124.
15 Huang Y, Xu L, Kuang L, Wang W, Cao J, Xiao MN. Abnormal brain activity in adolescents with Internet addiction who attempt suicide: an assessment using functional magnetic resonance imaging. Neural Regeneration Research 2020;15:1554.   DOI
16 Cheng C, Sun P, Mak KK. Internet addiction and psychosocial maladjustment: avoidant coping and coping inflexibility as psychological mechanisms. Cyberpsychol Behav Soc Netw 2015;18:539-546.   DOI
17 Intentional Self-Injury (Suicide)-KOSIS 2019. Available at: https://kosis.kr/. Accessed June 10, 2021.
18 Cao F, Su L, Liu T, Gao X. The relationship between impulsivity and Internet addiction in a sample of Chinese adolescents. Eur Psychiatry 2007;22:466-471.   DOI
19 Yao YW, Chen PR, Li S, Wang LJ, Zhang JT, Yip SW, Chen G, et al. Decision-making for risky gains and losses among college students with Internet gaming disorder. PLoS One 2015;10:e0116471.   DOI
20 Pan PY, Yeh CB. Internet addiction among adolescents may predict self-harm/suicidal behavior: a prospective study. J Pediatr 2018;197: 262-267.   DOI
21 Jae YM. Suicide and psychiatric disorder. J Korean Soc Biol Ther Psychiatry 2004;10:3-10.
22 Shen YM, Meng FC, Xu HM, Li X, Zhang YR, Huang, CX, et al. Internet addiction among college students in a Chinese population: Prevalence, correlates, and its relationship with suicide attempts. Depression and Anxiety 2020;37:812-821.   DOI
23 Stankovic M, Nesic M, Cicevic S, Shi ZH. Association of smartphone use with depression, anxiety, stress, sleep quality, and internet addiction. Empirical evidence from a smartphone application. Personality and Individual Differences 2021;168;110342.   DOI
24 Yuodelis-Flores C, Ries RK. Addiction and suicide: a review. Am J Addict. 2015;24:98-104.   DOI
25 Lin IH, Ko CH, Chang YP, Liu TL, Wang PW, Lin HC, et al. The association between suicidality and Internet addiction and activities in Taiwanese adolescents. Compr Psychiatry 2014;55:504-510.   DOI
26 Shaw M, Black DW. Internet addiction: definition, assessment, epidemiology and clinical management. CNS Drugs 2008;22:353-365.   DOI
27 Ruest S, Gjelsvik A, Rubinstein M, Amanullah S. The inverse relationship between digital media exposure and childhood flourishing. J Pediatr 2018;197:268-274.   DOI
28 Kroenke K, Spitzer RL. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann 2002;32:509-515.   DOI
29 Hou HF, Jia SW, Hu S, Fan R, Sun W, Sun TT, et al. Reduced striatal dopamine transporters in people with internet addiction disorder. J Biomed Biotechnol 2012;2012:854524.   DOI
30 Alpaslan AH, Soylu N, Kocak U, Guzel HI. Problematic Internet use was more common in Turkish adolescents with major depressive disorders than controls. Acta Paediatr 2016;105:695-700.   DOI
31 Kim MH, Min SH, Ahn JS, An CS, Lee JH. Association between high adolescent smartphone use and academic impairment, conflicts with family members or friends, and suicide attempts. PLoS One 2019;14:e0219831.   DOI